| NPI | 1013172295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FENOL QUIRIT President 772-398-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME47876) |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2008-07-27 |